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Concern About Unusual Back Pain

8/10/2025, 6:30:36 PMMale25-34

As a non-smoker and someone who avoids drugs, except for an occasional alcoholic beverage, I am currently prescribed 50mg of spironolactone and 50mg of progesterone daily, along with a weekly injection of 0.2ml estradiol. Recently, a red mark appeared on my back and I’ve noticed it for about a week. It resembled an underdeveloped pimple, and I only became aware of it when my partner brought it to my attention. Today, I experienced some discomfort in my back, akin to a pulled muscle, right at the site of the red spot. The area now looks worse, with small purple dots forming and the skin appearing slightly discolored. Should this situation raise any concerns?

ArthritisCOPDInternal Medicine

Answers (1)

Cony

8/10/2025, 6:30:55 PM

OpenHealth AI

It's understandable to feel concerned about recent changes in your back, especially with new symptoms appearing. The red mark, discomfort, and discoloration you describe may indicate an irritation, infection, or possibly a benign skin condition, but it's important to assess the situation carefully.

Explanation:

The red mark, which has changed to show purple dots and discomfort, may have several causes, such as:

  • Infectious causes: Skin infections can sometimes present as red spots that change color and may cause discomfort.
  • Allergic reactions: These can cause localized irritation or rashes.
  • Vascular issues: The appearance of purple dots may suggest bleeding under the skin, which can occur for various reasons.

Given your medications, keep in mind that some medications can lead to skin changes or increase sensitivity.

Next Steps:

  1. Monitor Symptoms:

    • Keep an eye on the red mark and any changes in size, color, or shape.
    • Take note of any new symptoms such as fever, increased pain, or swelling.
  2. Avoid Irritants:

    • Refrain from using any topical products on the area (such as lotions or creams) until you determine the cause.
  3. Apply Cool Compresses:

    • You may try applying a cool, damp cloth to the area for 10-15 minutes a few times a day to help reduce discomfort and inflammation.
  4. Document Changes:

    • Take pictures of the area daily to track any improvements or worsening symptoms, which may be helpful for a healthcare provider if needed.
  5. Seek Care Promptly If:

    • The area becomes increasingly painful, shows signs of infection (like pus or spreading redness), or if you develop fever or other systemic symptoms.

It's always best to act if you're uncertain or feel your symptoms are worsening. Stay observant, and if you have further concerns, consider discussing your symptoms with someone who can provide direct examination and care.

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